Week 5 Flashcards

(48 cards)

1
Q

Ligand-gated ion channels
a) Timescale
b) Effector
c) Coupling
d) Examples

A

a) milliseconds
b) channel
c) direct
d)
- nAChR
- GABAaR
- NMDAR

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2
Q

What are the 5 Cys loop LGIC receptors?

A
  • Muscle nicotinic
  • Neuronal nicotinic
  • GABAa
  • Glycine
  • 5-HT
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3
Q

LGICs can be pentameric, tetrameric or trimeric. What specific types of receptor fit into each of these groups

A

Pentameric
- nAChR
- GABAa
- 5-HT3

Tetrameric
- NMDA

Trimeric
- P2XR

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4
Q

Describe the structure of nAChR:
How many subunits, how many transmembrane domains, TM2, any extra features

A
  • Pentameric
  • 4 Transmembrane domains
  • TM2 lines the pore (-ive)
  • Extracellularly located NH3+ and COO-
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5
Q

What are the 3 locations nAChRs are found?

A
  • NMJ (endplate)
  • Autonomic ganglia
  • Synapses within the CNS
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6
Q

Key structural features of nAChRs:

All subunits contain approximately 500 amino acids. The homology between THE SAME subunit across species is a)__________ (b)________%). Whereas homology between different subunits in the same species is c)___________ (d)___________)

All subunits have Cys loops at 136/141

The ACh binding site is on the alpha-subunit

  • 30-60%
  • Low
  • High
  • 50-90%
A

a) High
b) 50-90%
c) Low
d) 30-60%

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7
Q

All subunits have a similar tertiary structure.
This is pretty complicated

A large a)__________ region and 4 b)__________ regions which are c)______________

A large d)____________ between TM3 and TM4 and extracellular e)________. f)_________ from each subunit lines the channel.
Subunits are all from separate genes.

  • Intracellular Loop
  • Extracellular
  • Alpha Helices
  • TM2
  • Transmembrane
  • NH2 and COOH
A

a) Extracellular
b) Transmembrane
c) Alpha helices
d) Intracellular
e) NH2 and COOH
f) TM2

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8
Q

The principle subunit of ACh binding is the alpha subunit. However, the gamma subunit is also important.

a)________ loops in the alpha subunit and b)_______ loops in the complementary gamma subunit form the binding site for ACh. Disruption to any of these loops interferes with ACh binding

  • 2
  • 6
  • 3
  • 4
A

a) 3
b) 3

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9
Q

Why is the Cys loop important in the nAChR? / What does it do?

A

It is important in the transduction of the signal when ACh binds

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10
Q

The GABAa receptor is formed from up to 20 different subunits. Most common though is what grouping of subunits?

A

Alpha and Beta subunits are usually together with gamma

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11
Q

Tough one, what is:
a) a selective GABAa receptor agonist
b) a selective, competitive GABAa antagonist

A

a) Muscimol
b) Bicuculine

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12
Q

GABAa receptors mediate a) fast/slow b) inhibitory/excitatory synaptic potentials

A

a) fast
b) inhibitory

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13
Q

The GABAa receptor is selectively permeable to Cl- ions. This means we can use the WHAT equation to determine where the synaptic potential reverses polarity?

A

Nernst Equation

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14
Q

Many clinically useful drugs act to block the interaction of ACh and the nicotinic AChR. These can be classified as either a) depolarising blockers or b) non-depolarising blockers. How are these things different and give an example of each?!

A

a) Depolarising blockers initially cause the depolarisation of the motor endplate leading to muscle contraction (fasciculation). Persistent receptor activation results in prolonged muscle paralysis
An example is Suxamethonium

b) Non-depolarising competitively block ACh without causing initial depolarisation. This leads to muscle relaxation. Non-depolarising blockers can be overcome by administration of an anti-cholinesterase drug (such as neostigmine)
Example drug = Rocuronium

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15
Q

In the parasympathetic nervous system, ACh activates WHAT kind of cholinergic receptor on the effector tissue after it is released from postganglionic nerve endings?

A

Muscarinic

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16
Q

There are 5 types of muscarinic receptor: M1-M5. What does each subtype do?

A
  • M1: Neural
  • M2: Cardiac
  • M3: Secretion, contraction of visceral smooth muscle, vascular relaxation
  • M4 + M5: Found in the CNS
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17
Q

Important one!

What are the effects of muscarinic receptor activation?

A
  • Activate phospholipase C to cause production of IP[3] and diacyl glycerol
  • Inhibit adenylate cyclase causing a decrease in levels of cAMP
  • Activate K+ channels
  • Inhibit Ca2+ channels
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18
Q

Some examples of direct acting agonists of muscarinic receptors are:
a) Bethanechol
b) Pilocarpine

What are these compounds?

A

a) Primarily muscarinic agonist, weak nicotinic agonist. Not hydrolysed by cholinesterase

b) Pilocarpine is an alkaloid also with primarily muscarinic effects. Crosses biological membranes

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19
Q

What are 2 therapeutic uses for muscarinic cholinomimetics and what drug(s) would be used to treat the conditions? Also add mechanisms.

A

1) Glaucoma
Drug = Pilocarpine
Mechanism: Underlying cause of glaucoma is problems with aqueous humor drainage. The resulting build up of pressure is painful. Contraction of the pupil and ciliary muscle by muscarinic receptor activation widens anterior angle of the eye and promotes drainage

2) Intestinal Atony (Lack of normal muscle activity in the gut)
Drugs: Bethanecol (direct acting, Neostigmine (indirect)
Mechanism: Muscarinic receptor activation increases gut movement and aids urination by working on gi muscles.

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20
Q

What are 2 competitive muscarinic antagonists that block all functions of muscarinic receptors? Hint = last Q is one of them

A
  • Atropine
  • Hyoscine: readily crosses into CNS
21
Q

What are the pharmacological actions of Atropine in the following areas:
a) GI tract
b) Eye
c) Cardiovascular system
d) Urinary tract
e) Exocrine glands
f) Respiratory tract
g) CNS

A

a) Decreases GI motility
b) Causes pupil dilation due to blockage of cholinergic muscarinic receptors of pupil constrictor muscles
c) Causes tachycardia since the effects of vagal stimulation are blocked
d) Decreases bladder motor activity
e) Dry eyes, dry mouth and dry skin which can elevate body temperature
f) Causes bronchodilation and reduced mucus secretion
g) Produces mainly excitatory effects in the CNS. Low doses = restlessness, high doses = hallucinations and respiratory depression

22
Q

Tough one but match the following drugs to their actions. They all affect something to do with ACh:

a) Synthesis of ACh
b) Storage of ACh
c) Release of ACh

  • Botulinium toxin
  • Vesamicol
  • Hemicholinium
  • Tetrodotoxin
A

a) Hemicholinium: Blocks transport of choline into the nerve terminal
b) Vesamicol: Transport of ACh to vesicles
c)
- Botulinium toxin: Prevents fusion of vesicles with presynaptic membrane
- Tetrodotoxin: blocks Na+ channels, preventing AP

23
Q

In the parasympathetic nervous system, ACh activates a) (nicotinic/muscarinic) on effector tissues after it is released from the b) (preganglionic/postganglionic) nerve endings

A

a) Muscarinic
b) Postganglionic

24
Q

What are the different classes of adrenoreceptors and their properties?

A
  • alpha-1: Found post-junctionally; contraction of smooth muscle, relaxation of GI tract, vasoconstriction
  • alpha-2: On nerve endings, reduce NA release
  • beta-1: in heart, increase HR and force of contraction
  • beta-2: in smooth muscle, relaxation and blood vessel dilation
  • beta-3: on fat cells, stimulate lipolysis
25
Atropine and various atropine derivatives have a multitude of therapeutic uses as competitive muscarinic antagonists. Name a few
- Asthma - Acute myocardial infarction - Pre-anaesthetic medication - Ophthalmological uses (glaucoma) - Parkinson's - Treatment of poisoning by amanita muscaria - Treatment of peptic ulcer
26
Another class of drugs are acetylcholinesterase inhibitors. Name some a) Reversible b) Irreversible
a) - Physostigmine - Neostigmine - Insecticide Carbaril b) - Ecothiophate - Military nerve gasses
27
How can Anti-AChE poisoning be treated/by what 2 drugs?
- Pralidoxime to reactivate AChE - Atropine to counteract bradycardia and excessive secretions
28
Physostigmine and derivatives like neostigmine also have a variety of therapeutic uses as reversible AChE inhibitors. Name some of the uses.
- Glaucoma - Intestinal atony - Intoxication by antimuscarinic drugs - Reversal of non-depolarising block at NMJ - Alleviating cognitive decline in Alzheimer's - Myasthenia Gravis: Neostigmine to increase ACh concentration at the NMJ
29
Describe the structure of the sympathetic nervous system in terms of: Size of pre and postganglionic neuron and the type of receptors on the effector organ
- Short preganglionic neuron - Long postganglionic neuron - Adrenoreceptors on the effector organ
30
What is the endogenous ligand of the sympathetic nervous system?
- Noradrenaline - Adrenaline is an agonist, but not the endogenous neurotransmitter (as is synthesised in the adrenal medulla, NOT the nerves themselves
31
What are the 2 exceptions in the sympathetic nervous system where noradrenaline is not the endogenous neurotransmitter?
- Spinal cord --> Adrenal medulla (ACh) - Spinal cord --> Sweat glands (ACh from both pre and post-ganglionic neurons)
32
The family of receptors in the sympathetic nervous system are adrenoreceptors. What type of receptor are these? and what are the classes of adrenoreceptor?
- GPCRs - alpha 1 and 2, beta 1-3
33
What are the properties of all the classes of adreno receptor?
- alpha1- Coupled to PLC. Contraction of smooth muscle, relaxation of GI tract, vasoconstriction - alpha2 - Coupled to AC pathway. On nerve endings; reduce NA release from nerves (mainly neuronal) (all beta class adrenoreceptors are coupled to Adenylate cyclase pathway (promotes ATP -> cAMP) - beta1 - Increases heart rate and force of contraction beta2 - Causes smooth muscle relaxation and blood vessel dilation beta3 - On fat cells, stimulate lipolysis
34
When targeting adrenoreceptors with drugs, you can have: - Alpha antagonists - Beta agonists - Beta antagonists What are the effects of drugs that do the above functions?
Alpha antagonists: - Vasodilator - Treatment of benign hyperplasia Beta agonists: - Smooth muscle relaxants Beta antagonists: - Cardiac depression
35
What are the actions and clinical uses of a) noradrenaline b) adrenaline
a) - Increase BP - Limited clinical use (sepsis) b) - Increase BP + HR - Asthma, anaphylaxis, cardiac arrest
36
From what is noradrenaline synthesised?
Tyrosine
37
Various drugs can interfere with the synthesis, storage or release of noradrenaline. What are the drugs that do each?
NA synthesis blockers: - Alpha-methyl-tyrosine - Carbidopa - Methyldopa NA storage blockers: - Reserpine (acts on transporter) NA release blockers: - Guanethidine
38
What are the clinical uses of the following NA inhibitors? a) Hexamethonium b) Carbidopa c) Methyldopa d) Reserpine
a) Former antihypertensive b) Parkinson's c) Hypertension in pregnancy d) Former antihypertensive
39
Inactivation of noradrenaline occurs through UPTAKE 1 and UPTAKE 2. Where are each found, and what are their qualities?
UPTAKE 1: - Present on nerve terminals - Recycles 75% of released NA - NA selective - Low max rate UPTAKE 2: - Present of glial cells - Extra-neuronal uptake - Low affinity - High max rate
40
Many drugs target the uptake system, primarily uptake 1. What are some examples?
- Cocaine and NaSSRIs block uptake 1 - Phenelzine inhibits MAO - Amphetamines also inhibit MAO
41
What type of drugs are tyramine and amphetamine?
Indirect sympathomimetic drugs
42
How do tyramine and amphetamine work? Think, they are sympathomimetic!
- Structurally similar to NA - Transported by uptake 1 - Taken into vesicles by MAO - Exchanged for NA - NA escapes via uptake 1 - Exocytosis, not involved / non involved / Ca2+ non-dependent MAOI-tyrosine interactions result in excessive release of noradrenaline
43
Adrenoreceptor alpha receptor agonists include the drugs - Methoxamine - Phenylephrine What are the actions of these drugs and their clinical use?
Methoxamine: - Targets alpha 1 and alpha 2 receptors - Action = Vasoconstriction - Clinical = Decongestant Phenylephrine: - Targets alpha-1 receptors - Action = Vasoconstriction - Clinical = Decongestant, haemorrhoids
44
Tamsulosin is an alpha-1 receptor antagonist. What does it do?
- Relaxes urinary smooth muscle - Clinical use = Benign prostatic hyperplasia
45
What are Clonidine, Yohimbine and Idazoxan examples of? and what do they do?
- Alpha-2 partial agonists - Modulate release of noradrenaline
46
What is an example of a a) Beta-1 agonist b) Beta-2 agonist And their respective functions
a) Dobutamine - Increases AC + cAMP activity b) Salbutamol - peripheral vasodilation
47
What are some examples of beta-receptor antagonists and general clinical uses of beta-receptor antagonists?
- Propranolol - Metoprolol - Nebivolol Clinical uses: - Angina - Hypertension - Cardiac dysrhythmia - Anxiety
48
Beta antagonists also act on the kidney. What process does this influence?
Renin-angiotensin pathways